Systems

For the past couple of weeks I have done real coding on a model running entirely on my own GPUs. Here is the hardware, the model, and what every parameter actually does.

At Andrews-Cooper, the most important part of the Defibrio work was the protocol boundary. The host CLI, the firmware, the cellphone UI, and the product itself were organized around it.

A public hospital loses tens of millions a year. Taxpayers cover the gap. But where does the taxpayers' money come from? Following that thread leads to a reframe that might change the conversation.

Twelve people walk into a working group carrying separate problems and walk out carrying a shared one. Episode 05 of the Cascade Valley audio drama series.

A board commissioner and an AI sit alone in an empty conference room and talk honestly about what just happened and why. Episode 06 of the Cascade Valley audio drama series.

A hospital CFO runs the same numbers two ways and gets answers that disagree by a factor of five. Episode 04 of the Cascade Valley audio drama series.

A Chief Nursing Officer processes what happened at the board meeting -- and discovers that the structural conflicts she has been managing for years have a name. Episode 02 of the Cascade Valley audio drama series.

A dramatized community hospital board meeting — fictional health system, real governance dynamics — showing what changes when an AI has a seat at the table.

Why good people in well-run hospitals still end up in the wrong conversation, and what a structural fix might look like.